How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $724.44 Median $2,570.40 Typical High $4,365.16 | Facility | None | $724.44 | $2,570.40 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,290.87 Typical High $3,162.28 | Professional | None | $2,238.72 | $2,290.87 | $3,162.28 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,365.16 Median $5,011.87 Typical High $17,378.01 | Facility | None | $4,365.16 | $5,011.87 | $17,378.01 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,238.72 | $2,884.03 | $2,884.03 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $5,888.44 | Facility | None | $524.81 | $1,174.90 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $3,090.30 | Professional | None | $1,659.59 | $2,344.23 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $12,589.25 | Facility | None | $1,348.96 | $3,801.89 | $12,589.25 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $2,818.38 | Professional | None | $1,445.44 | $1,819.70 | $2,818.38 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,122.02 Median $1,148.15 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,122.02 | $1,148.15 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $467.74 Typical High $588.84 | Professional | 53 · Discontinued | $446.68 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,737.80 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,698.24 | $1,737.80 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $346.74 Typical High $446.68 | Professional | 55 · Aftercare only | $338.84 | $346.74 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $229.09 Typical High $295.12 | Professional | 56 · Pre-op care only | $223.87 | $229.09 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,621.81 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,621.81 | $2,089.30 |
Where Louisiana sits
The same service costs 11.2 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Louisiana· 21st of 51
$2,344
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.